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ARCHIVED REPORTS_XR0004161
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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3500 - Local Oversight Program
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PR0545338
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ARCHIVED REPORTS_XR0004161
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Entry Properties
Last modified
2/12/2020 10:16:44 AM
Creation date
2/12/2020 8:39:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004161
RECORD_ID
PR0545338
PE
3528
FACILITY_ID
FA0003803
FACILITY_NAME
KETTLEMAN CHEVRON
STREET_NUMBER
601
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04728006
CURRENT_STATUS
02
SITE_LOCATION
601 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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SERVICES,INCORPORATED <br /> CHAIN OF CUSTODY <br /> 2401 Stanwell Drive,Suite 400 4-0 <br /> Concord,California 84520 <br /> Tet:(510)602-5100. Fax:(510)699.1918 <br /> UNOCAL. Gc'CAf� ANALYSES REQUESTED <br /> SAMPLERTURN AROUND TIME: <br /> VARTKES TASHDJIAN SIS # 6.1" -- CITY, L I <br /> ADDRESS. <br /> 6-c / • <br /> WITNESSIND AGENCY � Pal <br /> � to <br /> C7 a <br /> SAMPLING a H a WC CM REMARKS <br /> COMP F CONT. LDCATION H A E A H <br /> SAMPLE ID NO. DATE TIME WATER GRAB N0.O <br /> sk'Z a X 509211 <br /> �S .�. �I 11�'�9► �M <br /> 09 218 <br /> 5091 L2191 <br /> ENNNIIIIIIIIIIIIIIRELINQUISHED BY: DATE/TIME RECEIVED BY: c�DATE/TIME THE FOLLOWING MUST BE COMPLETED By THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES: <br /> 'S]96' <br /> 1. HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> r <br /> i?�d RE} 2. WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> /SIGNATURE) {$IGIyEi_A <br /> �U (J ��� 4� <br /> ✓I ['- / 3. DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? _V,n _ <br /> ISIG URE/ (SIGNATURE) <br /> (SIG TIiREI ISIGNAT EI 4. WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE) <br /> SIGNATURE: <br /> L � TITLE:, _ 1� <br /> (SIGNATURE) 9 i <br /> FO praseed with HNO3. All other containers are <br /> iffat•: All water containers to be sampled for TPHGIBTEX, 8010&8240 are preserved with HCL. All water containers to oe sampled for Lead or Metals a <br /> Iinnfa6Rfvad. <br />
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